Request For Fire Station Tour and/or Presentation

DEPARTMENT OF FIRE & RESCUE SERVICES

Request for Tour/Presentation

 

 

ORGANIZATION NAME:__________________________________________________________

 

ADDRESS: ______________________________________________________________________

 

CONTACT PERSON_____________________________TELEPHONE:______________________

 

EMAIL ADDRESS: ________________________________________________________________

 

DATE REQUESTED:_____________________________TIME:_____________________________

 

NUMBER OF CHILDREN:___________________________AGES: __________________________

 

GRADE(S):___________________________TIME AVAILABLE/DURATION:__________________

 

NUMBER OF ADULTS/ CHAPERONES:_______________________________________________

 

PRINT AND FAX TO 610-655-6395. FILL IN ADDITIONAL INFORMATION BELOW IF NECESSARY. IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT OUR OFFICE - 610-655-6081

 

 

 

 

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OFFICE USE ONLY

 

FIRE STATION LOCATION/APPARATUS ASSIGNED:___________________________________

 


CONFIRMED WITH STATION: _____________________________ DATE: __________________


 

MATERIALS NEEDED:_____________________________________________________________

 

 

______________________________________________________________________________________________

 

 

SPECIAL INSTRUCTIONS:__________________________________________________________

 

 

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REVISED: 1/23/2014